Healthcare Provider Details

I. General information

NPI: 1366400848
Provider Name (Legal Business Name): CHIPPEWA VALLEY EMERGENCY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 WEST CLAIREMONT AVE
EAU CLAIRE WI
54701
US

IV. Provider business mailing address

2715 WEST FRANK STREET
EAU CLAIRE WI
54703
US

V. Phone/Fax

Practice location:
  • Phone: 715-839-4121
  • Fax:
Mailing address:
  • Phone: 715-832-1508
  • Fax: 715-834-5870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207PT0002X
TaxonomyMedical Toxicology (Emergency Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. WOLFRAM SCHYNOLL
Title or Position: ER PHYSICIAN
Credential: MD
Phone: 715-839-4121